Taki Katsunobu, Watanabe Masayuki, Iwagami Shiro, Nagai Yohei, Iwatsuki Masaaki, Ishimoto Takatsugu, Baba Yoshifumi, Miyamoto Yuji, Baba Hideo
Department of Gastroenterological Surgery, Kumamoto University, Kumamoto, Japan.
BMJ Case Rep. 2011 Aug 11;2011:bcr0620114341. doi: 10.1136/bcr.06.2011.4341.
A 39-year-old Japanese man has been complaining of chest pain for 3 months and a CT revealed a huge tumour in the posterior mediastinum and retroperitoneum. The mediastinal tumour was continuous with the retroperitoneal one through the oesophageal hiatus and the lower oesophagus was completely surrounded by the tumour. MRI suggested lipogenic tumour. Resection of the tumour with oesophagectomy was performed through bilateral thoracotomy and laparotomy. Pathological examination revealed well-differentiated liposarcoma which was completely resected. The patient has been alive without recurrence for 14 months after surgery.
一名39岁的日本男性因胸痛3个月就诊，CT检查发现后纵隔和腹膜后有一个巨大肿瘤。纵隔肿瘤通过食管裂孔与腹膜后肿瘤相连，下段食管完全被肿瘤包围。MRI提示为脂肪生成性肿瘤。通过双侧开胸和剖腹手术进行肿瘤切除并食管切除术。病理检查显示为高分化脂肪肉瘤，已完全切除。患者术后存活14个月，无复发。
